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conventional medicine

Out of the Box: COVID-19, The What If Syndrome, and Context

April 13, 2020 By Older Bolder Mark

Out of the Box: A Cautionary Warning

What follows is a brief collection of what many would call out of the box thinking today; some (you might call them the screamers) would in fact label what follows absolute heresy.

If you’re not in the mood to have your thinking about current events challenged a bit, then move along, there’s nothing to see here. Likewise, if you’re unwilling or unable to put on big boy (or girl) pants and question the endless parade of dire and oft conflicting information we’re all assaulted with daily, then click on over to your favorite foodies’ website for the plat du jour (something I enjoy doing every day myself).

Of note, what follows is in NO WAY an effort to delegitimize or downplay the severity of the SARS-CoV-2 invasion and the impacts of the resultant COVID-19 syndrome. Quite frankly it can wreak devastation for the most susceptible, and it has invoked one of the most unusual mass responses ever seen in global history.

Finally, an apology for the length of this post; it’s a big meaty topic.

The What If Syndrome

Over a year ago I had a client approach me, a very successful and uber-intelligent physician, seeking some help after witnessing first hand my personal transformation over the past few years. He claimed to have “done everything right” as prescribed by traditional medicine for four plus decades, from eating stone ground oatmeal every morning to (over) exercising diligently to cutting saturated fats from his diet and much more. Yet with all of his at times painful compliance, his lipid profile was a mess and he was, predictably, having some issues with statins after having taken them for years with little efficacy.

I provided him a raft of information and reading resources, including some of the most scientifically grounded and respected scientists, researchers, and thought leaders in the medical, sports, and ancestral health worlds.

Specifically (given his traditional medical background) I encouraged him to read some of the works of Drs. Gundry and Shanahan, medical professionals who’ve seen the light and have integrated rational nutritional principles into thriving medical practices. His almost immediate response was to note how critically these clinicians deviated from “accepted and classical thought”, and given such, their recommendations couldn’t be trusted and shouldn’t be followed.

His final comment to me on the matter, before simply giving up before even really getting started, was something akin to this: “What they’re saying is basically heresy, but what if they’re right?”

What if they’re right indeed is a principle that applies more than ever to those raising a cautionary note about end-of-the-world predictions and current events.

Trying to Make Sense of Today with a Bit of Context

There are hoards of commentators opining these days about COVID-19; those who speak (and write) the company line are those you see plastered across various media outlets, distilled down into sound bites for the masses.

Perhaps not so ironically those who dig deeper into the details and the available data, analyzing information in real time at a granular level, not using models to hypothesize, aren’t so embraced by traditional media outlets, therefore it takes a bit more work to find this information.

From my personal perspective, as a retired physician able to understand and digest the medical side of the data fairly comfortably, I’ve found it most illuminating to read with interest the works of several folks who are otherwise experts at analyzing big blocks of data – ironically several of the most insightful have been economists.

Take for example this piece – Coronavirus – It’s Not Heart Disease, It’s a Plane Crash – written by Chris MacIntosh and published this morning. From the piece –

Cardiovascular disease kills over 17 million people annually. It’s the main cause of death globally apparently. I thought it was stupidity but now Google tells me no, it’s “CVD”. Cardiovascular disease. So much for that then.

Looking deeper we find what causes it. Too much macaroni cheese, and donuts, which actually means I was right all along. Stupidity IS the main cause of death. Furthermore, we know what we can do to stop it. Buy a pair of running shoes and actually use them for – you know – running, instead of mooching about the mall from one junk food outlet to another.

Anyway it causes millions of deaths every year and in a minute I’ll tell you why we don’t collectively say…ok that’s it. Enough is enough, you’re all quarantined and everyone must, for the next 4 weeks, self isolate in the gym on a diet of lettuce and bottled water. Which if you think about it would save millions of lives, not to mention millions of dollars in healthcare.

I tell you what makes folks freak the pha-kout though. Air travel. Google explains to me that nearly a third of folks are afraid of flying.

Here’s deaths by transport for 2017.
Highway: 37,133
Rail (Trains): 761
Marine (boats & other watercraft): 694
Commercial Airlines: 0

And did you know that there was a 1 in 3.37 billion chance of dying in a plane crash between 2012-2016. There was a 1 in 20 million chance of being on a commercial airline flight experiencing a fatal accident from 2012-2016 and when there was a crash 98.6% of those crashes resulted in exactly zilch fatalities — Of the 140 plane accidents during 2012-2016, only two involved fatalities (1.4%). Ironically folks will gleefully gorge themselves on burgers and fries before boarding a plane, terrified it’ll fall out of the sky. It’s like popping a slow release cyanide pill and then getting onboard one of the safest forms of transport in the world and thinking to yourself…this thing may kill me. Irrational? Yup.

And the reason for this fear is the same reason folks are terrified of nuclear power (the safest form of power known to man).  When a plane crashes or a tsunami hits, or a Fukushima happens they all do so with an unexpected speed. This is why our reaction to these events is disproportionate to the events themselves.

Contrast this to “CVD” which doesn’t do its dirty work in one fell swoop. It’s not like the heart attack man swoops down in one month and takes them all. It kills one in your street, another few across town. Then it ventures into the next neighborhood before taking up residence in the old age home and poof poor Betty’s gone…and then Bernie across the hall. We don’t like it, but we just accept it and learn to live with it…like politicians…or herpes.

So now to the dreaded bat flu which has brought the entire world to a screeching halt – literally.

What makes this virus special is its speed, or in medical speak R value.  Let’s put this into context, so far it’s killed about 100,000 people or less than a fifth of what the seasonal flu kills annually. Ultimately it’s going to kill a whole lot more, but we should be asking ourselves will it even come close to donut disease (CVD)? Probably not. 17 million remember. And what if it did meet or even exceed donut disease? It’d then be a really bad year but not out of the realm of something we’ve all learned to live with – at least with respect to CVD…

He goes on to quote from Dr. John Lee’s (retired professor of pathology and former NHS consultant pathologist) recent article in The Spectator –

In announcing the most far-reaching restrictions on personal freedom in the history of our nation, Boris Johnson resolutely followed the scientific advice that he had been given. The advisers to the government seem calm and collected, with a solid consensus among them. In the face of a new viral threat, with numbers of cases surging daily, I’m not sure that any prime minister would have acted very differently.

But I’d like to raise some perspectives that have hardly been aired in the past weeks, and which point to an interpretation of the figures rather different from that which the government is acting on. I’m a recently-retired Professor of Pathology and NHS consultant pathologist, and have spent most of my adult life in healthcare and science – fields which, all too often, are characterised by doubt rather than certainty. There is room for different interpretations of the current data. If some of these other interpretations are correct, or at least nearer to the truth, then conclusions about the actions required will change correspondingly.

The simplest way to judge whether we have an exceptionally lethal disease is to look at the death rates. Are more people dying than we would expect to die anyway in a given week or month? Statistically, we would expect about 51,000 to die in Britain this month. At the time of writing, 422 deaths are linked to Covid-19 — so 0.8 per cent of that expected total. On a global basis, we’d expect 14 million to die over the first three months of the year. The world’s 18,944 coronavirus deaths represent 0.14 per cent of that total. These figures might shoot up but they are, right now, lower than other infectious diseases that we live with (such as flu). Not figures that would, in and of themselves, cause drastic global reactions.

Initial reported figures from China and Italy suggested a death rate of 5 per cent to 15 per cent, similar to Spanish flu. Given that cases were increasing exponentially, this raised the prospect of death rates that no healthcare system in the world would be able to cope with. The need to avoid this scenario is the justification for measures being implemented: the Spanish flu is believed to have infected about one in four of the world’s population between 1918 and 1920, or roughly 500 million people with 50 million deaths. We developed pandemic emergency plans, ready to snap into action in case this happened again.

At the time of writing, the UK’s 422 deaths and 8,077 known cases give an apparent death rate of 5 per cent. This is often cited as a cause for concern, contrasted with the mortality rate of seasonal flu, which is estimated at about 0.1 per cent. But we ought to look very carefully at the data. Are these figures really comparable?..

He goes on to document an astounding and very concerning practice being conducted currently – mainly a dramatic and significant change in the methodology of reporting deaths related to COVID-19. The point – context matters – and at least some of the powers that be have been changing the game (and the context) on the fly, most often to worsen the impact of the data. (One of course would ask why? I have no idea, and will leave that to others to pontificate on.)

Math Still Matters

One of my mentors in business (for context, we were analyzing multifamily real estate projects) was fond of saying over and over again that “math matters, and it’s almost aways a bitch to dig into the details”. He was, of course, right, and every time I’ve ignored his advice and gone with emotion/desires over the hard reality of the math, the project has bitten me in the *ss. (We humans just do dumb things sometimes.)

It’s rare to find a genuine mathematical genius today, particularly one who can translate what are often obscure and complicated mathematical constructs into language we mere mortals understand. That said, I’ve been following one for years – Karl Denninger writing over at the Market Ticker. He most often writes on economics, though is a dedicated low-carb guy, a tech genius and former tech CEO, and very well versed on current events. He’s brutally forthright and willing and able to sling stones at any giant standing today.

Over the past several weeks he’s been spot on with several math-based predictions related to COVID-19, and his frequently updated rolling calculations of R0 (R naught) values – using data from state health agencies and the CDC – is probably some of the most important and enlightening data in the world right now (and predictably, as it opposes the narrative being propagated by most of the media, is for the most part ignored).

KD writes with animated clarity, if you’re not up to being challenged, or offended by frankness, don’t click over there.

On the other hand, if you really want to get to the bottom of things, and incorporate useful real data you can use to make decision for your family, click over there and spend an hour reading back through several weeks worth of posts.

Stay healthy my friends, and spend a bit of time outside the box today.

Leave a Comment Filed Under: Staying Healthy Tagged With: conventional medicine, COVID-19, out of the box, SARS-CoV-2, staying healthy

Ancestral Nutrition (Esp. Low Carb) in the Crosshairs: Two Fascinating Examples

September 19, 2019 By Older Bolder Mark

Like many of you, I find it most interesting when critics sling their arrows at the revolution happening in the human nutrition world these days.

I’m specifically referring to the tidal wave of evidence suggesting that consumption of overly processed, carbohydrate-centric, and fat-phobic diets has led to an unparalleled decline in overall health and disease markers over the last 40 years or so, and the rather stunning results that people from all walks of life have had when reverting back to more “ancestral” eating patterns.

And for the sake of discussion, let’s stipulate that these ancestrally-aligned food plans, when compared to the standard American (or Western) diet, are lower carb, feature moderate protein intake, and high amounts of healthy fats. There are a lot of different ways to skin this dietary cat if you will, but for discussion today we’ll focus on a LCMPHF approach.

Like many of you, I read different versions of what are often very repetitive talking points hammering ancestrally-oriented nutrition plans; many of the criticisms are based upon myths, hearsay, and some even overt misrepresentation.

Here are two that particularly caught my eye of late, in part, due to their sources.

An Interesting Perspective From the Foodie World

Late last month, Bon Appetite’s healthyish published this article – Before You Go Paleo, Keto, or Whole30, Think About These Side Effects. The thrust of the piece was that rigid food rules can have unintended consequences, with the author focusing on food obsession and a sense of loss and deprivation, which led to her personal failure when attempting to use Whole 30 to revamp her nutritional paradigm.

The author shared –

…Through my work as an eating psychology coach, I’ve seen that we can’t undo the cycle of dieting and weight gain until we understand what’s underlying our constant desire to drop pounds. At its core, dieting is a coping mechanism, and not a healthy one. We’re not born wanting to change our bodies, but billions of dollars are spent telling us that we should.

I’ve come to believe that, to end the diet-binge cycle, there has to be an inherent acceptance of the bodies we’re in. We don’t have to love it, but we can start with accepting it…

Bottom line – she missed the entire focus, and point, of eating a more ancestrally-aligned food plan. The game is not about deprivation, and it’s not about weight loss. The game is all about optimizing your health and function.

Is weight loss part of that process? It sure as hell can be (or should be) for some of us (obesity rates remain impressively high, just look around at the grocery store today…). But that’s not in any way, shape, or form the primary objective of eating ancestrally. The goal is optimizing health.

An Angry Perspective from Conventional Medicine

Early last month, MedScape, a physician and health provider news aggregator and CME site, published an interesting online piece titled The Low Carb Community is Its Own Worst Enemy.

You’ll need a free account to read the piece in full, and I heartily recommend that you do so when you have 20 minutes to spare. You’ll need that much time to read through the comment section as well; it’s packed with fascinating perspectives and as much vitriol as I’ve seen in some time directed toward the ancestrally-oriented community.

In part, the author’s premise (of note, he’s a family physician working in a bariatric clinic in Canada) is that physicians and leaders of the “low carb community” manifest all sorts of unprofessional and unbecoming behaviors. To wit, from the article –

Of interest – the author calls out what he classifies as vitriol and misrepresentation with, ironically, vitriol and misrepresentation. The comment section is similarly filled with all sorts of fascinating opinions…

I agree wholeheartedly with those who suggest that the increased attacks flowing toward the ancestral or non-standard American / Western diet folks these days are most likely evidence that we’re honing in on significant issues, issues that have been sadly mismanaged by the bulk of conventional medicine and nutrition gurus for several decades now. Why use the term mismanaged? Simply looking at obesity rates and incidence of T2DM is enough to prove the point.

Two quick additional points. The vital key is using the best food and nutrition plan you can find to best suit your personal physiology today – as your system adapts and changes, your nutrition plan very likely will need to as well. Customize, customize, customize.

Second, not all those good folks practicing conventional medicine are out to persecute you as a Paleo guy or keto gal; modern medicine offers so much in terms of potential contribution to your overall health, it’s frankly insane to throw the proverbial baby out with the bathwater here. A thoughtful, skillful, listening primary care doc deserves a seat on your health and wellness team, and they’re out there – you might have to do a bit of prospecting to find one, but they’re out there.

Leave a Comment Filed Under: Staying Healthy Tagged With: ancestral foods, ancestral health, conventional medicine, Low Carb

A Thoughtful Reminder About Using Weight As a (Primary) Measure of Health

June 25, 2019 By Older Bolder Mark

Family physician Yoni Freedhoff, MD (Associate Professor, Department of Family Medicine, University of Ottawa; Medical Director, Bariatric Medical Institute, Ottawa, Ontario, Canada) recently penned a worthy read over on MedScape – Scaling Back on Weight as a Measure of Patient Health. (Note – free account required to read the full article).

From the article –

…When I was a medical student in the 1990s, I wasn’t taught how to use a scale, and I’m betting that the same is true for most medical students today. Don’t get me wrong; it’s not that I think scales are complicated pieces of equipment, but after exclusively practicing obesity medicine for the past 15 years, I do think that their proper use is worth discussing.

Scales do measure the gravitational pull of Earth at a given moment in time. Scales don’t measure the presence or absence of health, nor do they measure lifestyle or effort. And for patients, it’s useful to note that scales don’t measure happiness, success, or self-worth, either…

He goes on to remind that while weight is without question a significant risk factor for a plethora of medical conditions, particularly at the extremes of the body weight curve, weight alone is not a guarantee that any or all of these conditions will occur. He also reminds that inferring health status from body weight alone is often a fool’s errand, and that scales don’t measure lifestyle.

My specific intent in mentioning the article is two-fold. One, to remind us all that the principle objective of improving our nutrition and fitness is to optimize our health and ability to function in life, not necessarily attaining some (often arbitrarily derived) number on a scale that conforms to our (real or not) body image.

And two, it’s always interesting to read responses to opinion articles that are targeted toward a physician audience and “peek behind the curtain” if you will at their responses. I for one think it’s a good thing conventional medicine is beginning to talk in earnest (at least part of the time) about lifestyle influences on health…

Leave a Comment Filed Under: Weight Loss Tagged With: conventional medicine, diet, lifestyle, weight, weight loss

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What a great lineup of speakers at yesterdays open What a great lineup of speakers at yesterdays opening day for the Primal Health Coach Masterclass in Austin - Tyler Cartwright (@ty_cartwright) and Luis Villasenor (@darthluigi) of @ketogains knocked it out of the park, as did Erin Power (@eat.simple.erin) and Laura Rupsis. Rubbing shoulders with some of the bigs is always inspiring and a great opportunity to learn, test and integrate new ideas, and stretch your goals and the horizon a bit. A rainy day on tap today won't dampen enthusiasm to hear @marksissonprimal and @christinehassler. #primalhealthcoachmasterclass #ketogains #learn 
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#metabolicflexibility #fit
Good morning Austin! I'm down in Austin for this y Good morning Austin! I'm down in Austin for this year's @primalhealthcoach Masterclass training with @marksissonprimal, @christinehassler, and team. Can't wait to get started, though the lake view and coffee from Mozart's Coffee Roasters (@mozartscoffee) after a lakeside walk this morning is a pretty damned nice way to start the day. Let's get this show rollin'. #olderbolderfitness #olderbolderlife #primal #paleo #keto #ketomeals #paleomeals #ketorecipes #paleorecipes #primalrecipes #healthcoach #wellnesscoach #lowcarb #weightloss #fitness #fithack #biohack #metabolicflexibility #fit #coffee #espresso
Posted a new recipe on the blog (link in bio) toda Posted a new recipe on the blog (link in bio) today for this tasty #turmeric #tzatziki; it comes together in just a few minutes and has been delicious on crudite and several grilled meats. My lovely wife would probably eat tzatziki at every meal if given the chance, and this one might be her new favorite. By the way, it's equally good made with the more authentic Greek yogurt as well as a full fat sour cream. Those Farmers' Market vegetables you're picking up this week are calling for this one. #olderbolderfitness #olderbolderlife #primal #paleo #keto #ketomeals #paleomeals #ketorecipes #paleorecipes #primalrecipes #healthcoach #wellnesscoach #lowcarb #weightloss #fitness #fithack #biohack #metabolicflexibility #fit
Posted a fun recipe for our Friday Feast post on t Posted a fun recipe for our Friday Feast post on the blog (link in bio) today - a spicy Crunchy Oven Roasted Nashville Picken (Pork Rind Coated Chicken). This recipe uses a couple of different tricks to make it more crispy and crunchy than ever, and the #primal/#paleo/#keto friendly Nashville glaze is amazing. You’ll want to put this one in the rotation before too long. Cheers. 
#chicken #ovenroastedchicken #nashville #nashvillechicken #nashvillehot 
#olderbolderfitness #olderbolderlife  #fitness #keto #ketomeals #nutritionalketosis #healthcoach  #ketorecipes #healthyrecipes #wellnesscoach #primalkitchen #paleo #whole30 #paleorecipes #lowcarb #lowcarbrecipes #weightlosstransformation
#primalhealthcoach #PHC #primal #weightloss
#metabolicflexibility #weightlossstall
New recipe up on the blog today - this delicious B New recipe up on the blog today - this delicious Bacon and Egg Asian Fried Cauliflower Rice. There are ton of great #cauliflower fried rice recipes out there; we’ve tried to pull together the best features of our favorites to pack in the most well-balanced flavors possible. I like mine slathered in a good #sriracha too, though this one is incredibly tasty on its own. We’re featuring this one in a #bulgogi bowl for the Friday Feast this week, recipe to follow. 
#cauliflower #cauliflowerrice #friedrice
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
An amazing roasted vegetable platter @whiskeycakep An amazing roasted vegetable platter @whiskeycakeplano today - their arrosto misto appetizer with roasted veg and peppers with red miso butter. Wow, what a great way to start the business lunch - people make better decisions when they’re happy. Roasted #shishitos for the win. #roastyourvegetables #butter #fireroasted
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
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Able to sneak away for a surprise lunch date today Able to sneak away for a surprise lunch date today with my lovely wife at Whiskey Cake in Plano. Keeping things interesting and spontaneous is critical in the relationship long game, and a little time enjoying great food in a fun environ is always a win. And damn, their arrosto misto roasted veg appetizer is simply awesome. 
#lunchdate #relationships #marriagerocks
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Just posted an interesting look at the five fruits Just posted an interesting look at the five fruits packing the most antioxidant punch on the blog today (link in bio). Ranked by their ORAC scores (oxygen radical absorption capacity - a bench top measure), the winners are elderberries, wild blueberries, raw cranberries, blackberries, and gogi berries. Fruit has its baggage (we’re looking at you fructose), but thoughtfully added to your meal plan, it brings a host of great benefits. 
#fruit #berries #antioxidants #elderberries
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Testing Jake and Kaitlyn’s new Big Agnes Flying Testing Jake and Kaitlyn’s new Big Agnes Flying Diamond 8 in the backyard today before a trip coming up shortly. What a nifty basecamp tent with great features and meticulous engineering. Time away from the routine and digital distractions in nature is critical and restorative, it’s time to start planning your next adventure. #getoutside #camping #nature #montana
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
By far and away our favorite coffee purveyor in #M By far and away our favorite coffee purveyor in #Missoula is Florence Coffee Roasters. A perfect dark roast, consistently great espresso pulls, and awesome service - we like their Orange Street location most of all. #missoula #florencecoffeeroasters #espresso #coffee #olderbolderfitness #olderbolderlife #primal #paleo #keto #ketomeals #paleomeals
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
On the ground with Brantley and the gang today sou On the ground with Brantley and the gang today south of Livingston (Montana) on the Pine Creek trail system. What a gorgeous afternoon out for a short hike in the high country, just as spring is coming to mountains. Hiking makes everybody happy, even if you're backpack bound. #montana #livingston #hiking #yellowstoneriver #yellowstone #yellowstonevalley
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Surf's up tonight in Missoula on Brennan's wave do Surf's up tonight in Missoula on Brennan's wave downtown on the Clark Fork after a crazy good dinner with the ladies in my life at the TopHat (shrimp tacos imaged above). Warming temps over the next few days are going to make the river pop and bring out the boards and the 'yaks. Hot damn, and Montana rocks in the spring. 
#montana #missoula #tophatmissoula #tophatlounge #clarkfork
#brennanswave #olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Being the kind of person that has never met a jala Being the kind of person that has never met a jalapeno popper I didn't like, when these Grilled Jalapeno Poppers with Smoked Gouda popped up on our radar I simply couldn't resist. #Gouda is a great melting cheese, superbly flavored, and readily available; fresh jalapenos are flooding into markets these days too. Don't forget a spritz of fresh lime juice, some chopped cilantro, and a really nice coarse salt for these hot off the grill. Recipe on the blog (link in bio) on Wednesday this week. See you on the back porch around the grill tonight. #jalapenos #jalapenopoppers #grill
#montana #olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit #foodporn
Out shopping in #Missoula this morning for new suc Out shopping in #Missoula this morning for new succulents for our daughter's house here, what a great array of options at Caras Nursery today. Succulent gardens are so easy to keep, can be quite beautiful, and add a nifty unique touch to the home garden, even in the northern Rockies. Get out there and get your hands dirty today. 
#garden #succulentgarden #missoula #montana #olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
For the Older Bolder salad Monday today I've poste For the Older Bolder salad Monday today I've posted a recipe (link in bio) for this quick Italian dressing, based around fresh oregano, parsley, and thyme, that's shockingly close to the dressing served on their house salad by a(n) (in)famous Italian chain eatery. This is far, far better, and comes together in under 5 minutes if you're pretty handy prepping those fresh herbs. Don't forget your homemade avocado or olive oil mayo for this one too. Cheers. 
#saladdressing #italiandressing #salad #oregano #thyme #olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Great stained glass trout at the #Orvis store in D Great stained glass trout at the #Orvis store in Dallas. Art is where you find it, and trout are always beautiful. Happy weekend to all our #flyfishing brethren out there today. #trout #chiwulff #flyfish #olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Some days you really do have to stop and smell the Some days you really do have to stop and smell the roses; I walked by this overgrown, wild-assed rose bush on my walk this morning and couldn’t help but stop, soak up the beauty and the scents, and grab a few pictures. You don’t need a mindfulness app, trainer, guru, or training - you just need to pay attention to the world unfolding around you. Go find some roses to smell today. 
#roses #payattention #mindfulness
#olderbolderfitness #olderbolderlife  #fitness #keto #ketomeals #nutritionalketosis #healthcoach  #ketorecipes #healthyrecipes #wellnesscoach #primalkitchen #paleo #whole30 #paleorecipes #lowcarb #lowcarbrecipes #weightlosstransformation
#primalhealthcoach #PHC #primal #weightloss
#metabolicflexibility #weightlossstall
Today’s Friday Feast is this amazing Hanger Stea Today’s Friday Feast is this amazing Hanger Steak Bulgogi Bowl (recipe posted on the blog this morning, link in bio). Hanger steaks, like their kissing cousins skirt steaks, derive from the diaphragm though are much more tender and flavorful than skirt - which is still our favorite #fajita cut on the planet. I put this bowl together last weekend before heading down to Austin with our Asian Fried Cauliflower Rice; hot damn, was it tasty. And it’s a simple prep and cook to boot. 
#koreanfood #bulgogi #beefbulgogi #foodporn
#olderbolderfitness #olderbolderlife  #fitness #keto #ketomeals #nutritionalketosis #healthcoach  #ketorecipes #healthyrecipes #wellnesscoach #primalkitchen #paleo #whole30 #paleorecipes #lowcarb #lowcarbrecipes #weightlosstransformation
#primalhealthcoach #PHC #primal #weightloss
#metabolicflexibility #weightlossstall
Mark Sisson and Christine Hassler led an informati Mark Sisson and Christine Hassler led an information packed and challenging day at the Primal Health Coach Masterclass in Austin yesterday. Plenty of good ideas, mental stretching, rib tickling, and sharing throughout the day. Learning is a great thing; there’s always something new to learn regardless of your prior education, experience, age, or background. Get out there and stretch yourself learning something new this week. #learn
#primalhealthcoach #primalmasterclass
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
How about this colorful and fresh Green Bean Nicoi How about this colorful and fresh Green Bean Nicoise Salad for lunch or dinner today? Just posted the recipe on the blog this morning, I have to admit it's one of the more creative salads we've done at home in a while, and the bright, lemon-based dressing is amazing. A great thing about this recipe is it can be done in stages and held in the fridge, then assembled right before serving. With or without some wild-caught tuna on the platter, this one is a meal in itself. You'll want to try this one. #nicoisesalad #greenbeans #wildcaughttuna #lemon #olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
What a great lineup of speakers at yesterdays open What a great lineup of speakers at yesterdays opening day for the Primal Health Coach Masterclass in Austin - Tyler Cartwright (@ty_cartwright) and Luis Villasenor (@darthluigi) of @ketogains knocked it out of the park, as did Erin Power (@eat.simple.erin) and Laura Rupsis. Rubbing shoulders with some of the bigs is always inspiring and a great opportunity to learn, test and integrate new ideas, and stretch your goals and the horizon a bit. A rainy day on tap today won't dampen enthusiasm to hear @marksissonprimal and @christinehassler. #primalhealthcoachmasterclass #ketogains #learn 
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
Good morning Austin! I'm down in Austin for this y Good morning Austin! I'm down in Austin for this year's @primalhealthcoach Masterclass training with @marksissonprimal, @christinehassler, and team. Can't wait to get started, though the lake view and coffee from Mozart's Coffee Roasters (@mozartscoffee) after a lakeside walk this morning is a pretty damned nice way to start the day. Let's get this show rollin'. #olderbolderfitness #olderbolderlife #primal #paleo #keto #ketomeals #paleomeals #ketorecipes #paleorecipes #primalrecipes #healthcoach #wellnesscoach #lowcarb #weightloss #fitness #fithack #biohack #metabolicflexibility #fit #coffee #espresso
Posted a new recipe on the blog (link in bio) toda Posted a new recipe on the blog (link in bio) today for this tasty #turmeric #tzatziki; it comes together in just a few minutes and has been delicious on crudite and several grilled meats. My lovely wife would probably eat tzatziki at every meal if given the chance, and this one might be her new favorite. By the way, it's equally good made with the more authentic Greek yogurt as well as a full fat sour cream. Those Farmers' Market vegetables you're picking up this week are calling for this one. #olderbolderfitness #olderbolderlife #primal #paleo #keto #ketomeals #paleomeals #ketorecipes #paleorecipes #primalrecipes #healthcoach #wellnesscoach #lowcarb #weightloss #fitness #fithack #biohack #metabolicflexibility #fit
Posted a fun recipe for our Friday Feast post on t Posted a fun recipe for our Friday Feast post on the blog (link in bio) today - a spicy Crunchy Oven Roasted Nashville Picken (Pork Rind Coated Chicken). This recipe uses a couple of different tricks to make it more crispy and crunchy than ever, and the #primal/#paleo/#keto friendly Nashville glaze is amazing. You’ll want to put this one in the rotation before too long. Cheers. 
#chicken #ovenroastedchicken #nashville #nashvillechicken #nashvillehot 
#olderbolderfitness #olderbolderlife  #fitness #keto #ketomeals #nutritionalketosis #healthcoach  #ketorecipes #healthyrecipes #wellnesscoach #primalkitchen #paleo #whole30 #paleorecipes #lowcarb #lowcarbrecipes #weightlosstransformation
#primalhealthcoach #PHC #primal #weightloss
#metabolicflexibility #weightlossstall
New recipe up on the blog today - this delicious B New recipe up on the blog today - this delicious Bacon and Egg Asian Fried Cauliflower Rice. There are ton of great #cauliflower fried rice recipes out there; we’ve tried to pull together the best features of our favorites to pack in the most well-balanced flavors possible. I like mine slathered in a good #sriracha too, though this one is incredibly tasty on its own. We’re featuring this one in a #bulgogi bowl for the Friday Feast this week, recipe to follow. 
#cauliflower #cauliflowerrice #friedrice
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
An amazing roasted vegetable platter @whiskeycakep An amazing roasted vegetable platter @whiskeycakeplano today - their arrosto misto appetizer with roasted veg and peppers with red miso butter. Wow, what a great way to start the business lunch - people make better decisions when they’re happy. Roasted #shishitos for the win. #roastyourvegetables #butter #fireroasted
#olderbolderfitness #olderbolderlife #primal
#paleo #keto #ketomeals #paleomeals 
#ketorecipes #paleorecipes #primalrecipes
#healthcoach #wellnesscoach #lowcarb
#weightloss #fitness #fithack #biohack
#metabolicflexibility #fit
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